{"id":804,"date":"2024-04-29T00:24:08","date_gmt":"2024-04-28T21:24:08","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=804"},"modified":"2024-04-29T00:24:08","modified_gmt":"2024-04-28T21:24:08","slug":"dis-kulak-hastaliklari","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/dis-kulak-hastaliklari\/","title":{"rendered":"D\u0131\u015f kulak hastal\u0131klar\u0131"},"content":{"rendered":"<p><span>D\u0131\u015f Kulak Yolu Hastal\u0131klar\u0131n\u0131<\/span><\/p>\n<p><span>a. \u0130nfeksiyonlar<br \/> b. Travmalar<br \/> c. Yanmalar, donmalar<br \/> d. T\u00fcm\u00f6rler<br \/> e. D\u0131\u015f kulak yolunda yabanc\u0131 cisimler<br \/> f. Bu\u015fonlar <br \/> olarak g\u00f6zden ger\u00e7irece\u011fiz.<\/p>\n<p> a. \u0130nfeksiyonlar<br \/> Erizipel: <br \/> -\u03b2 hemolitik streptokoklar\u0131n yapt\u0131\u011f\u0131 bir lenfanjitdir. <br \/> -Kabar\u0131k bir demarkasyon hatt\u0131 ile salim k\u0131s\u0131mlardan ayr\u0131l\u0131r. <br \/> -Genel durum k\u00f6t\u00fcl\u00fc\u011f\u00fc, <br \/> -39,5 &#8211; 40\u00b0C ate\u015f, bel a\u011fr\u0131lar\u0131 olur. <br \/> -Sepsise yol a\u00e7abilir.<\/p>\n<p> Tedavi: <br \/> -Penisilin, <br \/> -Aluminyum asetat sol\u00fcsyonu ile pansuman, <br \/> -lokal antibiyotikli pomadlar, <br \/> -yatak istirahati verilir.<\/p>\n<p> Furonk\u00fcl: <br \/> D\u0131\u015f kulak yolu deri k\u0131sm\u0131nda stafilokoklar\u0131n neden oldu\u011fu, diff\u00fcz veya lokalize (tek) abse olarak g\u00f6r\u00fcl\u00fcr. <br \/> -\u015eiddetli a\u011fr\u0131, <br \/> -duymada azl\u0131k, <br \/> -ate\u015f vard\u0131r. <br \/> -A\u011fr\u0131 kulak kep\u00e7esinin hareketi ve \u00e7i\u011fneme ile artar. Zira \u00e7ene eklemi ile d\u0131\u015f &#8212;<br \/> -kulak yolu \u00e7ok yak\u0131n kom\u015fuluk halindedir. <br \/> -Otoskopla furonk\u00fcl g\u00f6r\u00fcl\u00fcr.<br \/> -Antibiyoterapi (eritromisin veya ampisilin), <br \/> -alkolle pansuman, <br \/> veya bist\u00fcriyle a\u00e7\u0131lmas\u0131 gerekebilir. Bol damarl\u0131d\u0131r damarl\u0131d\u0131r .<\/p>\n<p> b. Travmalar:<\/p>\n<p> -Gerekirse ototransplantasyon m\u00fcmk\u00fcnd\u00fcr. <br \/> -Ayr\u0131ca te\u011fet olarak kula\u011f\u0131 s\u0131y\u0131rm\u0131\u015f travmalarda othematom\u2192 perikondrit olabilir <br \/> (g\u00fcre\u015f\u00e7i, boks\u00f6r, hammal). <br \/> -Kep\u00e7ede \u015fi\u015flik, morarma vard\u0131r. <br \/> -Othematom bo\u015falt\u0131l\u0131r. Gayet s\u0131k\u0131 tampone edilmelidir. <br \/> -Antibiyotik verilir. <br \/> Perikondritlerde; stafilokok, streptokok, pseudomonas pyocyaneus etkendir. <\/p>\n<p> Tedavide <br \/> -sulfonamidler, <br \/> -basitracin, <br \/> -polimiksin, <br \/> -lokal antibiyotikli damlalar, <br \/> -asit borik (\u00f6zellikle pseudomonaslarda) tatbik edilir <br \/> 1) Ponksiyon ile aspirasyon (tercihen \u00e7ift ponksiyon)<br \/> 2) \u0130nsizyon ile drenaj<br \/> 3) Alkol borik uygulan\u0131r<\/p>\n<p> c.Yanmalar, donmalar: <\/p>\n<p> Yan\u0131klar\u0131n tedavisi genel yan\u0131k tedavisi gibidir. <br \/> -Donmalarda damarlarda k\u00fc\u00e7\u00fck trombozlar \u2192 nekroz \u2192 gangrenler meydana gelebilir. <br \/> -Taze vakalarda so\u011fuk (kan, su v.s.) pansuman olarak tatbik edilir. &#8211;<br \/> -Antikoag\u00fclan ve antibiyotikler verilir <br \/> -38-42\u00b0 C&#39;de nemli pamuklarla \u0131s\u0131tma yap\u0131l\u0131r. <br \/> -Ancak masaj, ovma gibi i\u015flemler yap\u0131lmamal\u0131d\u0131r.<\/p>\n<p> d. T\u00fcm\u00f6rler<\/p>\n<p> 1. Keloidler, <br \/> Fibrom, <br \/> Anjiom, <br \/> kondrom v.s. polipler: Orta kulaktan uzanan mukoid poliplerdir.<\/p>\n<p> 2. Papillom: Elektrokoterle \u00e7\u0131kar\u0131l\u0131r.<\/p>\n<p> 3. Kanser: <br \/> -Cilt kanserleri bazosell\u00fcler ve spinosell\u00fcler olabilir.<br \/> -Bazal h\u00fccreli olanlar \u00e7ok selim seyreder. <br \/> -Yava\u015f ve lokal yay\u0131l\u0131r. <br \/> -Spinosell\u00fcler kanserler retroaurik\u00fcler, parotis, mandib\u00fcler lenf sistemine metastaz yaparlar. <br \/> -Bazosell\u00fclerde cerrahi ve gerekirse boyun diseksiyonu yap\u0131l\u0131r.<\/p>\n<p> e. D\u0131\u015f kulak yolunda yabanc\u0131 cisimler:<\/p>\n<p> -Organik veya \u0130norganik olabilir,madeni olabilir. Organik olanlar \u015fi\u015febilir.<br \/> -\u0130sthmusu a\u015fanlara pratisyen m\u00fcdahale etmemelidir. <br \/> -Organik olanlar canl\u0131 ise steril zeytinya\u011f\u0131 (alkolle kar\u0131\u015ft\u0131r\u0131l\u0131p y\u0131kan\u0131r) veya steril su ile \u00f6ld\u00fcr\u00fcl\u00fcr. <br \/> -Sonra y\u0131kanarak \u00e7\u0131kar\u0131l\u0131r. Aspirat\u00f6r, kro\u015fe, k\u00fcret ile y\u00fczeye \u00e7\u0131kar\u0131l\u0131r .<\/p>\n<p> f. Bu\u015fonlar (kulak kiri birikintileri): <br \/> -Epitelden zengin (dermoid) ve sert olur. Bu\u015fon siyah-kahverengi ve yumu\u015fakt\u0131r Kolleterol kristalleri i\u00e7erdi\u011finden. Kulak aspire edilir.<br \/> Serumen (sar\u0131-kahverengi, yumu\u015fak): Epitel d\u00f6k\u00fcnt\u00fcleri ihtiva ederler. <br \/> Banyo, deniz v.s. den sonra \u0131slan\u0131r ve \u015fi\u015ferek kulak yolunu t\u0131karlar.<\/p>\n<p> Sert bu\u015fonlar\u0131n yumu\u015fat\u0131lmas\u0131 i\u00e7in;<br \/> g\u00fcnde birka\u00e7 kez gliserin i\u00e7eren kulak damlalar\u0131 damlat\u0131larak sert bu\u015fonlar yumu\u015fat\u0131l\u0131r. Kro\u015fe ve k\u00fcretlerle \u00e7\u0131kar\u0131l\u0131r. Kulak zar\u0131 delik olanlarda mutlaka Aspirasyon yap\u0131larak bu\u015fonlar temizlenir.<\/span><\/p>\n<p><span>Prof. Dr. Sel\u00e7uk ONART<\/span><\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u0131\u015f kulak hastal\u0131klar\u0131 Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[115,63],"class_list":["post-804","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-dis","tag-kulak"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=804"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/804\/revisions"}],"predecessor-version":[{"id":805,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/804\/revisions\/805"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}